Skip to main content
Home
  • Log In
  • eNewsletter Signup
  • Store
  • Contact Us

Search form

  • Membership
    • Mission and Values
    • NAHRI Leadership
    • Boards and Committees
    • Definition of Revenue Integrity
    • FAQs
    • Sponsorship
    • Corporate Sponsors
  • Certification
    • About the CHRI Certification
    • CHRI Program Requirements
    • Apply for the CHRI Exam
    • CHRI Recertification
    • CHRI CEUs
    • Directory of Credential Holders
  • Publications
    • NAHRI Journal
    • Revenue Integrity Insider
    • Leadership Council Insider
  • Resources
    • Job Descriptions
    • Policies & Procedures
    • Surveys
    • Conference Materials
    • Quarterly Calls
    • Webinars
    • White Papers
    • Council Resources
  • Network & Events
    • Revenue Integrity Symposium
    • Revenue Integrity Week
    • Podcast
    • Local Chapters
    • Boot Camps
    • Upcoming Webinars
    • NAHRI Leadership Council
  • Career Center
  • Forums
  • Become a Member
  • 
    • Log In

CMS instructs IDR entities to resume all payment determinations

Wed, 03/22/2023
Revenue Integrity Insider
News, Policies and Procedures

CMS authorized independent dispute resolution (IDR) entities to resume payment determinations for disputes involving items or services furnished on or after October 25, 2022.

NAHRI Leadership Council involvement opportunities

Fri, 03/17/2023
Leadership Council Insider
NAHRI Leadership Council, Revenue Integrity

The NAHRI Leadership Council is member-driven -- that means our priority is to give you the opportunity to connect with your peers on the Council and share your own insight, expertise, and experiences. Council members have a number of options for increasing their involvement.

How to identify opportunities to expand automation

Fri, 03/17/2023
Leadership Council Insider
Chargemaster and Charge Capture, NAHRI Leadership Council, Revenue Integrity

There are always opportunities to expand use of existing automation tools. Revenue integrity departments need to make informed choices about new areas to automate and be realistic about their ability to commit resources and show a return on investment.

OIG identifies over $200 million in potential overpayments for drug testing services

Wed, 03/15/2023
Revenue Integrity Insider
Billing and Claims, Monitoring and Audits, News

Medicare could have saved over $200 million in payments for definitive drug testing services between 2016 and 2020 if proper program safeguards had been in place, according to a recent audit report by the Office of Inspector General (OIG).

HHS releases PHE transition roadmap

Wed, 03/08/2023
Revenue Integrity Insider
Billing and Claims, Chargemaster and Charge Capture, Coding and Documentation, Compliance, Coverage, News, Revenue Integrity

HHS released a policy roadmap for providers ahead of the public health emergency (PHE) conclusion. The roadmap details policies that will simultaneously end with the PHE, as well as flexibilities that have been extended for various time periods.

Study: Outpatient visits increasingly billed at higher levels

Wed, 03/08/2023
Revenue Integrity Insider
Billing and Claims, Coding and Documentation, News, Revenue Integrity

Providers are more frequently billing for outpatient evaluation and management services with high-level codes, which has led to higher outpatient spending, according to a recent study.

CMS publishes FAQ on modifiers -JW and -JZ

Wed, 03/01/2023
Revenue Integrity Insider
Billing and Claims, News, Policies and Procedures

CMS recently published an FAQ to address the products, providers, and billing practices associated with drug waste modifiers -JW and -JZ.

View More News

NAHRI Forums

To participate in the NAHRI forum discussions, you must be a member of the NAHRI community. Please subscribe today or login for access.

NAHRI Forum
Wed, 07/12/2017 - 13:31
Discuss
  • Membership
  • Sponsorship
  • Terms of Use
  • Privacy Policy
  • Contact Us
  • Helpful Links
© 2023 HCPro, a brand of Simplify Compliance. All rights reserved